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J Community Health Nurs ; 36(2): 91-101, 2019.
Article in English | MEDLINE | ID: mdl-30990744

ABSTRACT

Uninsured patients lacking access to primary and preventive care continues to be an issue. The purpose of this analysis is to describe operating costs surrounding a nurse-driven freestanding community clinic and to calculate quality of life benefits using clinically preventable burden scores. A retrospective records review of patients (n = 200) receiving care at a free clinic were used. Annual costs were $387,252. The benefit gained in quality-adjusted life years is estimated to be 57.47-203.94 yielding a return on investment ranging from $1,200,264-$8,948,184. Free clinics have sustained cost savings over time. Policies addressing this form of care are imperative.


Subject(s)
Ambulatory Care Facilities/economics , Practice Patterns, Nurses'/economics , Cost-Benefit Analysis , Female , Humans , Male , Medically Uninsured , Quality of Life , Quality-Adjusted Life Years , Retrospective Studies , United States
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